54.204.126.246
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>50000</MaximumLimit>
  <StartDate>06/23/2014</StartDate>
  <EndDate>10/21/2014</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>GuiHua</Firstname>
    <Middlename/>
    <Lastname>Wang</Lastname>
    <Age>72</Age>
    <Dob>07/16/1941</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>06/23/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>room#5, building 156, Jiefang Rd. Tiedong District</Address1>
      <Address2>Liaoning Province</Address2>
      <Country>China</Country>
      <State></State>
      <City>Anshan</City>
      <Postcode>114001</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>kraigs@bellsouth.net</Email>
    <Phone>
      <Home>4043120057</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Yusong Seichrist</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Daughter</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Discover</CreditcardType>
      <CreditcardNumber>6011311016804705</CreditcardNumber>
      <NameonCreditcard>Yusong Seichrist</NameonCreditcard>
      <CreditcardExpirationMonth>9</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2016</CreditcardExpirationYear>
      <CreditcardAmount>982.52</CreditcardAmount>
      <CreditcardCodeNumber>273</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
7cd5a04f
ARS-02-0016963
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0016963</PolicyNumber><UserName>7cd5a04f</UserName><Password>7cd5a04f</Password></PolicyDetails></RegistrationRes>